| NPI | 1699282053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 330593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704319746) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |