| NPI | 1720799455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AL 9372691) |
| Additional Taxonomies | 172A00000X Driver (Licence: AL 9372691) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: AL 650418160035) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |