| NPI | 1629343553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-145431-MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5213562) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2013-12-26 |