| NPI | 1619375367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.096989MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN096989) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-01-16 |