| NPI | 1174065254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |