| NPI | 1881996122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 138252) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703105601) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |