| NPI | 1801131339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P329445) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN144372) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2014-05-24 |