| NPI | 1467849216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E132318) |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: CA 2000023261) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2019-01-25 |