| NPI | 1982029963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 164506) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 322310190811) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2022-02-07 |