| NPI | 1538706692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.183673.MEDS-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 320950710914) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-01-05 |