| NPI | 1174759369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN 133093) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 225873) |
| 174H00000X Health Educator (Licence: TX 225873) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2015-05-27 |