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 |