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 |