| NPI | 1972358240 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH UX637363)  | 
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH UX637363)  | 
| Enumeration Date | 2024-04-20 | 
| Last Update Date | 2024-04-22 |