| NPI | 1134452048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn134-065 iv) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn134065iv) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |