| NPI | 1699089789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN129053) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA Lpn081542) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2011-08-17 |