| NPI | 1174351381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: IA 133AM1913) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IA 133AM1913) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |