| NPI | 1053690354 |
|---|---|
| Former Name | CHRISTINE LYNNETTE VALITSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn111834-meds) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |