| NPI | 1811405418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 167891) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-06-16 |