| NPI | 1689963423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.144801) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-05-25 |