| NPI | 1164779732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn-112680) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH PN-112680) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |