| NPI | 1265228720 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA f5505311) |
| Additional Taxonomies | 172A00000X Driver (Licence: CA f5505311) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-21 |