| NPI | 1508461963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH RS385159) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-26 |