| NPI | 1386107043 |
|---|---|
| Former Name | MARY ELIZABETH DINNINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.157988.MEDS-IV) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-08-23 |