| NPI | 1245089135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 602102040124) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |