| NPI | 1184164147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH Lpn153357Med-IV) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: OH Lpn153357Med-IV) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |