| NPI | 1902171440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH NS06278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 258624) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |