| NPI | 1730735903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: IN 2350-45-6933) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IN HHA0901819) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-11-29 |