| NPI | 1407289366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 138736) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 74588) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |