| NPI | 1992171953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 172173) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 260612130014) |
| 376K00000X Nurse's Aide (Licence: OH 401442110912) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2023-07-28 |