| NPI | 1538840228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: WA ES61340570) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61466463) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |