| NPI | 1508007972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000158915) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 156388) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |