| NPI | 1255601894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.183635.MEDS.-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 501075670206) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2024-04-03 |