| NPI | 1669342788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI D255119001002) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MI D255119001002) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI D255119001002) | |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |