| NPI | 1417467150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 375819830896) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |