| NPI | 1164846309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401352050212) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 401352050212) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |