| NPI | 1740926658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 185574) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 601775150720) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-05-30 |