| NPI | 1457199929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN314976) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.180101.MEDS) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |