| NPI | 1588955884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 343900000X) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL 347C00000X) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |