| NPI | 1942042890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 3747P1801X) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |