| NPI | 1699983015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: WA 1164821) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: WA CM60391712) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-09-30 |