| NPI | 1346604840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.151620-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 33980) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |