| NPI | 1720312580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH NS-4416) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OH RN-143768) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |