| NPI | 1457743916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: AZ 111) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: AZ 111) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |