| NPI | 1881909463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1124846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 347266) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2010-11-24 |