| NPI | 1992830491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.088567-MEDS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN387211) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-05-15 |