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 |