| NPI | 1902199524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 400312) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH P.N. 137079) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-04-16 |