| NPI | 1750053575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 225500000X Specialist/Technologist | |
| 171W00000X Contractor | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-06-26 |