| NPI | 1649448242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN107575) |
| Additional Taxonomies | 376J00000X Homemaker |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2024-06-10 |