| NPI | 1922468073 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 347C00000X Private Vehicle | 
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) | 
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-03-02 | 
| Last Update Date | 2016-03-02 |