| 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 |