| NPI | 1164133591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X |
| 172A00000X Driver | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |