| NPI | 1669756052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 144695) |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |