| NPI | 1710021746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 095124) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-03-07 |