| NPI | 1639566334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-143521-M-IV) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 527517) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-02-06 |