NPI | 1114259926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.075161.MEDS-IV) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 075161) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2021-07-30 |