| NPI | 1427353556 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 177079) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn112450) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2019-01-30 |