| NPI | 1174231773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.183680MEDSIV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 183680) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2024-10-01 |