| NPI | 1992187926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 0339942) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH 2573337) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2019-06-22 |