| NPI | 1083340640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-27 |