| NPI | 1245704899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL M26278079610) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL M26278079610) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |