| NPI | 1184358939 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 051240261) | 
| Additional Taxonomies | 247200000X Technician, Other (Licence: GA CN00300067613) | 
| Enumeration Date | 2022-07-15 | 
| Last Update Date | 2022-07-15 |