| NPI | 1215520101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X Meals |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-09-14 |