| NPI | 1912433467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 272471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9313865) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |