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 | 2007-07-08 |