| 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 Long Term Care Hospital | |
| 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 |