| NPI | 1164805313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 188774) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 0102290) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-10-18 |