| NPI | 1598596397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 178966) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 4001542) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |