| NPI | 1245493287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 084364) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn084364) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |