NPI | 1982029963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 164506) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 322310190811) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2022-02-07 |