| NPI | 1316373947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27048908A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN099142) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2013-09-14 |