| NPI | 1609219005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 162915) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 373541110194) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2017-01-09 |