| NPI | 1386997955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn105027) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2020-10-05 |