| NPI | 1619787165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 183875) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 402079420618) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |