| NPI | 1073251625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |