| NPI | 1487352423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: OH VJ679121) |
| 347C00000X Private Vehicle (Licence: OH VJ679121) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |