NPI | 1639594088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95360680) |
164X00000X Licensed Vocational Nurse (Licence: CA VN 214748) | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2014-02-21 |
Last Update Date | 2025-05-13 |