| NPI | 1134559461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN154649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN3966477) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |