| NPI | 1790087336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.125630-M-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.125630.MEDS-IV) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2025-03-11 |