| NPI | 1306303698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 184003) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401486390213) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-03-08 |