| NPI | 1669850467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.102856) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS 2013045400) |
| 172A00000X Driver (Licence: OH RR470365) | |
| 174H00000X Health Educator (Licence: OH PN.102856) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |