| NPI | 1295922615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-100643) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN100643) |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2019-04-05 |