| NPI | 1851794671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 164350) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401193490111) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2017-06-05 |