| NPI | 1912379470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OH 246062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 246062) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |