| NPI | 1912495011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 160054) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 025.0133140) |
| 164W00000X Licensed Practical Nurse (Licence: IN 99083856A) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |