| NPI | 1023619111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH UP692032) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-07-18 |