| 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 |