| NPI | 1679087456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.337844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN337844) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |