| NPI | 1417516170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.146388.MED-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.146388.MEDS-IV) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |