| NPI | 1881211076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 402121261118) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.175677.meds-IV) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2021-08-20 |