| NPI | 1598937211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician (Licence: MO 2000170576) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2000170576) |
| 172A00000X Driver (Licence: MO 2000170576) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |