| NPI | 1538755343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH 5401628) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH 5401628) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |