| 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 |