| NPI | 1770845505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 401185241210) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401185241210) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 401185241210) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |