| NPI | 1205187929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: DE 640464) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: E3479026) |
| 146N00000X Emergency Medical Technician, Basic (Licence: MD 2056071) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2022-01-27 |