| NPI | 1063012227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN127768IV) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-12-01 |