| NPI | 1003052879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 2377-0640) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH 400848261208) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |