| NPI | 1205330396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: OH 7801847) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 7801847) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-10-09 |