| NPI | 1952870081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 140355) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 140355) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-01-18 |