| NPI | 1821851379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 347C0000X) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2026-04-30 |