| NPI | 1609734250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.191615) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH 602837601224) |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-13 |