NPI | 1194071092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: TX 22543297) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 22543297) |
Enumeration Date | 2012-07-28 |
Last Update Date | 2012-07-28 |