| NPI | 1649575572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.142995-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 142995) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2018-09-10 |