| NPI | 1336414432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 159001) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-10-08 |