| NPI | 1205636909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 172A00000X Driver (Licence: OH FNU1122) |
| 172A00000X Driver | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |