| NPI | 1497314165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: WY 101219) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WY 101219) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |