| NPI | 1376664649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.060868) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5164948) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-03-18 |