| NPI | 1164827002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 226234) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-10-17 |