| NPI | 1053616508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.140663-M-IV) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2024-02-01 |