| NPI | 1992931406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.124411 IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 28250) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-05-13 |