| NPI | 1275245136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: LA 010055766) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: LA 296420) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |