| NPI | 1750750949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: PA 462809249) |
| Additional Taxonomies | 172A00000X Driver (Licence: PA 462809249) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |