| NPI | 1760084404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH sx244775) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH sx244775) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |