| NPI | 1326769530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 1185437) |
| 347C00000X Private Vehicle (Licence: TX 11854837) | |
| 347E00000X Transportation Broker (Licence: TX 11854837) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-10-12 |