| NPI | 1528830544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 167501) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP054471) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |