| NPI | 1275354235 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 478675) |
| Additional Taxonomies | 172A00000X Driver |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |