| NPI | 1306409404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703111182) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-06-11 |