| NPI | 1164209912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: NC P556196) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 2057290) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |