| NPI | 1639381767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.337631) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH PN . 117928 MEDS) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-07-06 |