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 |