| NPI | 1538755889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.172076) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 23869278) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-09-07 |