| NPI | 1124754106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: OH RN240484) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-11-19 |