| NPI | 1972900660 |
|---|---|
| Former Name | QUANISHA J WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 400780600708) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 164536) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2020-03-08 |