| NPI | 1730863978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL l25000111621) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 805075986) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-04-01 |