| NPI | 1437710282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.162264) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.162264.MEDS-IV) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-06-24 |