| NPI | 1558005652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 107564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 107564) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-28 |