| NPI | 1619368974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN 13950-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN139540) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |