| NPI | 1851723381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 150457) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400679421007) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |