| NPI | 1265903371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.171049.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703110550) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-03-23 |