| NPI | 1235692922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 188829) |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-08-25 |