| NPI | 1912219908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: IL 209006118) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: OH NS11421) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2014-08-05 |