| NPI | 1699867770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: GA 112129) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN112129) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-01-03 |