| NPI | 1841219722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 332972) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 118989) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-17 |