| NPI | 1619279841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN107220) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.107220) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |