| NPI | 1235861535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: AZ D06613295) |
| Additional Taxonomies | 172A00000X Driver (Licence: AZ 23387169) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-29 |