| NPI | 1437826351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |