| NPI | 1427317767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27060017A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.127016-MEDS) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |