| NPI | 1558687723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.386598) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN129216IV) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2013-04-10 |