| NPI | 1245843630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: TN 067519981) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 067519981) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |