| NPI | 1740453612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: AK 07229005) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |