| NPI | 1740862952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.175190.meds-iv) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-02-06 |