| NPI | 1740574896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.131935-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703103360) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |