| NPI | 1639447055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 337564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1104606) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |