| NPI | 1932433166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-123128-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2043497) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |