| NPI | 1619654662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 187661) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 602622250623) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-08-05 |