| NPI | 1164104998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.168464.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH IP.410106.MEDS) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-09 |