| NPI | 1265689194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 132025-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 253454) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |