| NPI | 1821620196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 975) |
| Additional Taxonomies | 172A00000X Driver (Licence: VA SWOOPDN) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |