NPI | 1659574788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 118951) |
Additional Taxonomies | 172A00000X Driver |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
3747P1801X Technician, Personal Care Attendant | |
376J00000X Homemaker | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2021-03-08 |