| NPI | 1700337706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: PA RT005197) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA E3241856) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |