| NPI | 1710318811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 133413) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2047726) |
| Enumeration Date | 2013-11-28 |
| Last Update Date | 2013-11-28 |