| NPI | 1639828437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: DC A338510) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-03-05 |