| NPI | 1194557017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: OH RQ067195) |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |