| NPI | 1417665696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH RK457865) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH RK457865) |
| 347C00000X Private Vehicle (Licence: OH JMN1805) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH RK457865) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |