| NPI | 1548549843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn388229) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 128591-IV) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-01-28 |