| NPI | 1518824846 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 602736881123) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: 602736881123) |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |