| NPI | 1700280112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 172V00000X Community Health Worker (Licence: MD 15871130) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-06-26 |