| NPI | 1922706860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 682) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-08-09 |