| NPI | 1790950319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 400214630203) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 2734778) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |