| NPI | 1386939494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 155748) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 2998314) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-02-14 |