| NPI | 1528274115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: TN EMT0000010966) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000042368) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |