| NPI | 1508079104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN116953-IV) |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-12-06 |