| NPI | 1487427076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 172A00000X Driver (Licence: OH 172A00000X) |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-25 |