| NPI | 1689454217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: LA 011288940) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: LA 93502) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |