| NPI | 1942640545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.408276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1621217) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2015-06-22 |