| NPI | 1972725513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.167942.MEDS) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27047636A) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-07-31 |