| NPI | 1528395241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN088314) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN132565) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2021-04-19 |