| NPI | 1972830941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN132703) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: OH 0102593) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |