| NPI | 1437691201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN LPN.161231) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.161231) |
| 164W00000X Licensed Practical Nurse (Licence: OH 161231) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-05-10 |