| NPI | 1508094889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA pn280877) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn.132212) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |