| NPI | 1356199129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 32388803717) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 32388803717) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |