| NPI | 1053026021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Additional Taxonomies | 172A00000X Driver (Licence: OH 1832072) |
| 3747P1801X Technician Personal Care Attendant (Licence: OH 1832072) | |
| 376J00000X Homemaker (Licence: OH 1832072) | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-08-11 |