| NPI | 1164782199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 3651880) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401391190512) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |