| NPI | 1285892893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN141182) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |