| NPI | 1144099201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181653.MEDS-IV) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |