| NPI | 1417509126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.148633.MEDS-IV) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OH 101300) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-07-28 |