| NPI | 1801628870 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: UT 2024041573) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WA EMT.ES.61622635) |
| 376K00000X Nurse's Aide (Licence: WA NAR.NA.61601061) | |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA MAPC.PC.61612890) | |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2026-04-28 |