| NPI | 1659616506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 41171) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 151236) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-12-13 |