| NPI | 1629455688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn 158076) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-12-11 |