| NPI | 1043087901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 00594002) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 00594002) |
| 172A00000X Driver (Licence: TX 00594002) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |