| NPI | 1396276556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.156563.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2056154) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-10-24 |