| NPI | 1730493800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.425327) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH PN132769) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2016-09-02 |