| NPI | 1922765841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2025-09-08 |