| NPI | 1588390082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172A00000X Driver (Licence: OH RG508094) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |