| NPI | 1669183612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 1799256) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 179256) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |