| NPI | 1861828360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 409706) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 142633MIV) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2016-08-15 |