| NPI | 1568236289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 400699831207) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-04-07 |