NPI | 1184493298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181526.MEDS-IV) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-12-29 |
Last Update Date | 2024-08-14 |