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 |