| NPI | 1356492847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 359748) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.093954-MEDS) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2010-06-28 |