| NPI | 1477316420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.111204.MEDS) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-05-20 |