| NPI | 1619922002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH PN112179) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MT LPN7887) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |