| NPI | 1396456323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver (Licence: CO 170642426) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-03-31 |