| NPI | 1699362665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH rr240493) |
| 347C00000X Private Vehicle (Licence: OH rr240493) | |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2020-12-24 |