| NPI | 1962294082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 402214691019) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH TN651287) |
| 374U00000X Home Health Aide (Licence: OH 402214691019) | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-06-03 |