| NPI | 1679890784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn139356) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 139356) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |