| NPI | 1669238150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174200000X Meals |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: 20-0298R25) |
| 172A00000X Driver (Licence: MO 20-0298R25) | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2025-12-02 |