NPI | 1508163502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251J00000X Nursing Care (Licence: OH RP209957) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-02-28 |