| NPI | 1871203810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: SC 007880024) |
| Additional Taxonomies | 171W00000X Contractor |
| 376K00000X Nurse's Aide (Licence: SC 121624) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |