| NPI | 1891856001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN121295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN360145) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-06-07 |