| NPI | 1164267639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 195128) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 402216091019) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-05-22 |