| NPI | 1154710580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.14544-M-IV) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: OH 961302) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |