| NPI | 1043920101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 136524) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH RP404862) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-01-20 |