| NPI | 1639472848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.329185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN329185) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |