| NPI | 1154639805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn-121466) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH PN-121466) |
| 164X00000X Licensed Vocational Nurse (Licence: OH PN121466) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |