| NPI | 1841840337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-02-21 |