| NPI | 1295298362 |
|---|---|
| Former Name | TRICIA MAY LOPEZ CAPISTRANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: WA E3120523) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2019-04-07 |