| NPI | 1366973109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN.0047668) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT 511744) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |