| NPI | 1376168203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 400883040309) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-17 |