| NPI | 1760768113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 305969) |
| Additional Taxonomies | 246Q00000X Spec/Tech, Pathology (Licence: OH PN-30569) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |