| NPI | 1912292194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.372049) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.134534 IV) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-08-03 |