| NPI | 1053036483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: OH 0179802) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |