| NPI | 1265866701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn.138705-m-iv) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2046175) |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2016-03-31 |