| NPI | 1598739088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5221408) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 073711) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-12-02 |