| NPI | 1902158991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1133354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 367287) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |