| NPI | 1235908211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: NY 579459353) |
| Additional Taxonomies | 172A00000X Driver (Licence: NY 357654682) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |