| NPI | 1235154238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: MD D0062563) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101035903) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-01-07 |