| NPI | 1528596749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 168296.MEDSIV) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2018-05-20 |