| NPI | 1609528678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL R165290748630) |
| Additional Taxonomies | 172A00000X Driver |
| 347C00000X Private Vehicle (Licence: ZZ R165290748630) | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |