NPI | 1063017325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 172A00000X Driver (Licence: OH SW838910) |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2020-12-03 |
Last Update Date | 2020-12-03 |