| NPI | 1154668606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-052307) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN074657L) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |