| NPI | 1578862520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OH RN245840) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN245840) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |