| NPI | 1891075339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.341475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704262954) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |