| NPI | 1295592962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.128770.MEDS-IV) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-09-22 |