| NPI | 1063461044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 7703702) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 2252146) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-09 |