| NPI | 1609366475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: OH TK751726) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-11-21 |