| NPI | 1801614482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QV0200X Clinic/Center VA |
| 302R00000X Health Maintenance Organization | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |