| NPI | 1144008699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.187631) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-09-03 |