| NPI | 1346573433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 114453) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L41519-0) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |