NPI | 1356169403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.190118) |
Additional Taxonomies | 251E00000X Home Health (Licence: OH LPN.190118) |
347C00000X Private Vehicle | |
Enumeration Date | 2024-09-27 |
Last Update Date | 2024-09-27 |