| NPI | 1194130765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2017-12-27 |