| NPI | 1629795042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 172A00000X Driver (Licence: OH RF332382) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-12-15 |