| NPI | 1548620396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN100223) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH LPN.100223.MEDS) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2023-08-18 |