| NPI | 1952851495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NJ L00521577756692) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NJ 821012965) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2017-04-28 |