| NPI | 1821772575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.185403) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-05-05 |