| NPI | 1205333226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.165414.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60246490) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |