| NPI | 1730625161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
| 172A00000X Driver | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-10 |