| NPI | 1255624730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: TX 637494) |
| Additional Taxonomies | 172A00000X Driver (Licence: TX 637494) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |