| NPI | 1669116794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH Pn119034) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH Pn119034) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-26 |