| NPI | 1669147096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH IP.0410932) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27063990A) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |