| NPI | 1184954521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 134081-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 134081) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |