| NPI | 1629413513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 388046) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 138396) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |