| NPI | 1548779267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 401460691112) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |