NPI | 1215526975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 187682) |
Additional Taxonomies | 251J00000X Nursing Care |
261QU0200X Clinic/Center, Urgent Care | |
282E00000X | |
374U00000X Home Health Aide | |
376K00000X Nurse's Aide (Licence: OH 401542000613) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-01-15 |
Last Update Date | 2023-12-31 |