| NPI | 1902234792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.186183) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 267613) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2023-08-11 |