| NPI | 1992502694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WV 31378) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 183134) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |