| NPI | 1235455080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN 126958) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN126958) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |