| NPI | 1750080354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 172970) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |