| NPI | 1578939534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.159735.MEDS-IV) |
| 164X00000X Licensed Vocational Nurse (Licence: OH PN.159735) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2024-04-30 |