| NPI | 1639553555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN163401) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: GA 11853) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |