| NPI | 1538579917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN086457) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27061502A) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |