| NPI | 1194425272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 172A00000X Driver |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-04-21 |