| NPI | 1528813987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 182952.meds.iv) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-25 |