| NPI | 1265981971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 140315) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 31688) |
| 164W00000X Licensed Practical Nurse (Licence: FL PN 5195061) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |