| NPI | 1609100767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: GA LPN081015) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-110219) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2016-10-21 |