| NPI | 1841895505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: OH RN484623) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-02-01 |