| NPI | 1083383707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172A00000X Driver |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |