| NPI | 1770200388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH rq495213) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: OH rq495213) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |