| NPI | 1790087971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN234254) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 2009022866) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |