| NPI | 1730515636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.088185.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-088185) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2024-10-21 |