| NPI | 1063016624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 0906256) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: OH 0906256) |
| 251E00000X Home Health (Licence: OH 0906256) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |