| NPI | 1568977858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 401191400111) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401191400111) |
| 385H00000X Respite Care (Licence: OH 401191400111) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |