| NPI | 1790456069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 410993670817) |
| Additional Taxonomies | 172A00000X Driver |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2021-09-25 |