| NPI | 1215568068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 307) |
| Additional Taxonomies | 347E00000X Transportation Broker (Licence: VA 307) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-02-21 |