| NPI | 1538562491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN129718) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2042043) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |