| NPI | 1932646718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 178790) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2021-05-27 |