NPI | 1336356732 |
---|---|
Former Name | KRISTIN JEANINE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: WA 0124897) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-09 |