| NPI | 1770604274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 164W00000X) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN068170) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-09 |