| NPI | 1679837397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: OH 149352-M-IV) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH 149352) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |