| 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 |