| NPI | 1255635355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn080573) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: OH pn080573) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-31 |