| NPI | 1427464643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 5010936106) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OH 501093610406) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |