| NPI | 1578961710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN183369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN181384) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |