| NPI | 1346124385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401986380717) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 4032633) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |