| NPI | 1558534180 |
|---|---|
| Professional Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 055585) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn055585) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-05-15 |