| 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 |