| NPI | 1326447947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 170978.MEDS-IV) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OH 1326447947) |
| 171W00000X Contractor | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2021-07-06 |