| NPI | 1619207016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN446043) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN109854-meds) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2018-01-09 |