| NPI | 1558718833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 150303) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703112687) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |