| NPI | 1033641634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.162299.MEDS-IV) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OH LPN.162299.MEDS-IV) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH LPN.162299.MEDS-IV) | |
| 302R00000X Health Maintenance Organization (Licence: OH LPN.162299.MEDS-IV) | |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2017-04-01 |