| NPI | 1649470246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn104017) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH pn104017) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |