| NPI | 1932717717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH 1831241) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |