| NPI | 1023690039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 7719184) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: OH 7719184) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-05-12 |