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 |