| NPI | 1417222381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.398283) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 148174-M-IV) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2014-02-14 |