| NPI | 1447736178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.173981.MED-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-06-29 |