NPI | 1407192487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.414952) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH M-IV PN.149574) |
Enumeration Date | 2012-12-20 |
Last Update Date | 2015-08-21 |