NPI | 1841958907 |
---|---|
Former Name | LAVELLA AUBREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: MI 2003553) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MI E3422719) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2021-12-06 |