| NPI | 1063952513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 159421) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2025-08-05 |