| NPI | 1801135934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 73380) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH Lpn.073380.MEDS) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2019-07-03 |