| NPI | 1962778472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 377107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN377107) |
| 163W00000X Registered Nurse (Licence: FL 9475008) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-10-20 |