| NPI | 1275922015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ C50954) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-02-12 |