| NPI | 1487023107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN291241) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH 251S00000x) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |