| NPI | 1326381211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.415533) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn148020) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2016-01-12 |