| NPI | 1518360270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: OH RN453361) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH RK884819) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-14 |