NPI | 1821360785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: VA 0126000099) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA J040801501) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2012-02-07 |