| NPI | 1063123115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA T62638150) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA T62628150) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |