| NPI | 1639489768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN 1319973) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide (Licence: OH 400445700105) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2019-09-27 |