| NPI | 1639786437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: OH rs619850) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH rs619850) |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-10-11 |