| NPI | 1871229849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: VA T64205998) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002087989) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |