NPI | 1972981645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 157034) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 157034-m-IV) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2019-10-17 |