| NPI | 1740790419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.147574.MEDS) |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health (Licence: OH LPN.147574.MEDS) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |