| NPI | 1891402889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 187912) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-01-23 |