| NPI | 1629324314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 401943460317) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309927) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-05-03 |