| NPI | 1629849005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 183344) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |