| NPI | 1275881138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN125321) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703099897) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |