| NPI | 1508316084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL AL4315) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT550531) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |