| NPI | 1710754346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: IA 752YY9918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 124843) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |