| NPI | 1023573623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 401210450311) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: 401210450311) |
| 376K00000X Nurse's Aide (Licence: OH 401210450311) | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |