| NPI | 1124487434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: AZ E1744946) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP034467) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |