| NPI | 1871225649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.163372.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ PN218949) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |