NPI | 1205364973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 148126) |
Additional Taxonomies | 376G00000X Nursing Home Administrator |
Enumeration Date | 2017-05-25 |
Last Update Date | 2018-02-09 |