| NPI | 1588042980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN-316271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 229524) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |