| NPI | 1518855626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 501055141205) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 501055141205) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-08-11 |