| NPI | 1154648756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN-47508) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 118796) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |