| 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 |