| NPI | 1972856300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 175036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN 251647L) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |