| NPI | 1043816747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.175943.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 53136) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-06-02 |