| NPI | 1164843793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 7063) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 131997) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |