| NPI | 1972498889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 191083) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |