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 |