| NPI | 1619243326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 379372) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400948000709) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-04-11 |