| NPI | 1669741146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN132365) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 1297121) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |