| NPI | 1174232474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 183818) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH 183818) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-02-24 |