| NPI | 1790912111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.131785-IV) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 371711) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2016-02-25 |