| NPI | 1609593797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.445552) |
| 172A00000X Driver | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |