| NPI | 1932483724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 165796) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401256880611) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2017-08-15 |