| NPI | 1346565264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.107957.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-107957) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2021-04-07 |