| NPI | 1457009623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 321476071197) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 038232) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |