| NPI | 1942571690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 402163) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 147758) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2014-07-22 |