| NPI | 1508162108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN395822) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.138170-M-IV) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2016-04-26 |