| NPI | 1811328115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH RN-185939-COA) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH COA13194-NS) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |