| NPI | 1982844387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN123549) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH RN123549) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |