| NPI | 1174091631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27065820A) |
| 251E00000X Home Health (Licence: IN HHA0802210) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |