| NPI | 1861746661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN442549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 192906 - 30) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2018-03-08 |