| NPI | 1063122885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn047763) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 047763) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |