| NPI | 1598221608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: OH RN-442044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1122171) |
| 163W00000X Registered Nurse (Licence: WV 74830) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |