| NPI | 1417562679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 0211326) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 400965110809) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |