| NPI | 1508196544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 136415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 376640) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2013-05-13 |