| NPI | 1700749603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: M5114705) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: 05228980PO) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |