| NPI | 1851759427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.147346.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN147346-meds) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-04-19 |