| NPI | 1497074439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 374430) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 138863) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-01-05 |