| NPI | 1700323003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 401707841214) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: 401707841214) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |