| NPI | 1902140981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332U00000X Home Delivered Meals |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 144320) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-03-05 |