| NPI | 1265607873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN044699) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703086032) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |