| NPI | 1598290546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: CO 058963) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CO MT.0017165) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |