| 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 |