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 |