| NPI | 1679016091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH TF169802) |
| 376K00000X Nurse's Aide (Licence: OH 602373631121) | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2024-10-10 |