| NPI | 1831304658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH COA.02166-NS) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: OH RN217893) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-07-26 |