| NPI | 1871182501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 372532171192) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-17 |