| NPI | 1124390448 |
|---|---|
| Former Name | CHARLOTTA ELYSE ASHLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: TX 15541150) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX E6S6W5Q2) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |