| NPI | 1619763596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 602866270724) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 60286270724) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |