| NPI | 1326349721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401077040510) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 401077040510) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |