| NPI | 1124880109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.100395.MEDS-IV) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QP0904X Clinic/Center Public Health, Federal | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |