| NPI | 1972006815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 0217779) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401792980915) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |