| NPI | 1215349089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 400092260302) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 171714) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2019-11-06 |