| NPI | 1649473802 |
|---|---|
| Former Name | TANYA R VANDEVENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: WI 36785) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-09-08 |