| NPI | 1649475393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH R.N. 189014) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.02220) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |