| NPI | 1104540962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X | |
| 246Y00000X Spec/Tech, Health Info | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |