| NPI | 1033517065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN152835-m-iv) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 152835) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-07-05 |