| NPI | 1962919332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.170212.MEDS-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401843810416) |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2023-08-04 |