| NPI | 1407014780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 139683-M-IV) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2010-06-01 |