| NPI | 1518337989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.159600.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN159600MIV) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-01-18 |