| NPI | 1952708448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401053050310) |
| Additional Taxonomies | 247200000X (Licence: OH 401053050310) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |