| NPI | 1457431512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN126795) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OH NS01305) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |