| NPI | 1376200303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: OH HIC03333) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: OH HIC03333) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |