| NPI | 1215267653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN .116687) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 116687) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2023-04-25 |