NPI | 1437453982 |
---|---|
Former Name | ANGELA K MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 149787) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401167601110) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2012-08-04 |