| NPI | 1982008140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.092563.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.092563-M-IV) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-02-19 |