| NPI | 1689054520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 400701041207) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |