| NPI | 1407487028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: KY 50092816) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH Rq672931) |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2023-11-25 |