| NPI | 1407331390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH Lpn.164302) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 164301) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |