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 |