| NPI | 1801346366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.169210.MEDS-IV) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2018-08-28 |