| NPI | 1437590478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-064783) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.148973-M-IV) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2013-07-06 |