| NPI | 1205688769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: MT MED-EMT-LIC-132742) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MT MED-EMR-LIC-114617) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |