| NPI | 1669101267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 3826HHN) |
| 246YR1600X Spec/Tech, Health Info, Registered Record Administrator | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-12-02 |