| NPI | 1568352896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OR 6018116606621) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 601811660621) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |