| NPI | 1962711499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN. 369921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0028064) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2011-05-25 |