| NPI | 1629671136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH RQ540121) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker (Licence: OH RQ540121) | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |