| NPI | 1245995232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 4755927) |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle (Licence: OH 4755927) | |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide (Licence: OH 4755927) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |