| NPI | 1871801159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: AZ 78563) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |