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 |