| NPI | 1104395292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.164193.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 164193) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-01-23 |