| NPI | 1699922716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN-352532) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN,120186- IV) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2010-08-25 |