NPI | 1467716464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn146071) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH PN146071) |
172V00000X Community Health Worker (Licence: OH 146071) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2015-12-09 |