| NPI | 1851020267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 162405) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5249104) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |