| NPI | 1689014151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 171221.MEDS-IV) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2026-02-18 |