| NPI | 1558431189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: OH rq096025) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 2595240) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |