| NPI | 1306422456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.185051.MED-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401482900113) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-10-22 |