| NPI | 1427338771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN087797) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.145530-M-IV) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2015-04-17 |