| NPI | 1255773461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9269848) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT305446) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |