| NPI | 1760942668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.115431.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN115431) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-05-20 |