| NPI | 1417355546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.147322-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN147322-M-IV) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2016-05-26 |