| NPI | 1003407396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 000000000) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 0000000000) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |