| NPI | 1275868036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN. 347156) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 123723 IV) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |