| NPI | 1396922449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 379654) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400617190507) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2013-11-14 |