| NPI | 1326249798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH PN041669) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN041669) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |