| NPI | 1508621533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: OH 7655) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.119501.MEDS-IV) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |