| NPI | 1457698318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 448906) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 134706) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2018-09-04 |