| NPI | 1366845877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver (Licence: LA 008150162) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2020-09-02 |