NPI | 1144365206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: MI 3203002866) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |