| NPI | 1396333670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH RF378721) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |