| NPI | 1619776903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.155456.MEDS) | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2026-05-19 |