| NPI | 1558605527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1303583) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-10-21 |