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 |