| NPI | 1033479597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.145081-M-IV) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 400586530207) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |