| NPI | 1104421478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 0355891) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: OH 0355891) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |