| NPI | 1902184328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 152393) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401195000111) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2015-04-15 |