| NPI | 1831994987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 128916) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 38241) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |