| NPI | 1922400589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.155401) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27070751A) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |