| NPI | 1255104162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 402065740518) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 314000000X Skilled Nursing Facility (Licence: OH 402065740518) | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-03 |