| NPI | 1063022721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.165885.MEDS-IV) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |