| NPI | 1316341621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 138285) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC NC56929) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-04-25 |