| NPI | 1932403664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.114914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.388015) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-02-06 |