| NPI | 1245664432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.146085-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN146085-M-IV) |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2024-01-09 |