| NPI | 1538660634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 401962790517) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: OH 401962790517) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-06-16 |