| NPI | 1508104605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 176285) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401316781111) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2024-01-12 |