| NPI | 1346079423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 186919) |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-05-01 |