| NPI | 1487873766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN268337) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: OH RN268337) |
| 163WP0200X Registered Nurse Pediatrics (Licence: OH RN268337) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |