| NPI | 1013420769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.186440) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 186440) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-10-17 |