| NPI | 1912620931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.184332.MEDS-IV) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 601561131020) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-02-22 |