| NPI | 1114750643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: OH TC703374) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 3651840) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |