| NPI | 1588967897 |
|---|---|
| Former Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: MS 347c00000x) |
| 253Z00000X In Home Supportive Care (Licence: MS 253z00000x) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2023-07-14 |