| NPI | 1538287743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.142363-M-IV) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-03-29 |