| NPI | 1093320640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31005701) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-14 |