| NPI | 1487976775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 138459) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: OH 52455) |
| Enumeration Date | 2010-02-27 |
| Last Update Date | 2010-02-27 |