| NPI | 1750342648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: WA B1597244) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA 120202073) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2025-09-11 |