| NPI | 1912349630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.142212-M-Iv) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN287297) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |