| NPI | 1497983993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.385111) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-123225 IV) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2012-08-26 |