| NPI | 1558135319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 172A00000X Driver (Licence: OH RP608396) |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |