| NPI | 1487988408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN103528) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN256732L) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |