| NPI | 1740606060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 132700000X Dietary Manager |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN112217) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |