| NPI | 1215419403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 06483072) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-10-09 |