| NPI | 1609236066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN131574MEDS-IV) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: pn131574) |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2020-01-24 |