| NPI | 1760927032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.147457.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.147457) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2021-04-02 |