| NPI | 1689497208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH L6J4H3B6) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |