| NPI | 1891786992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 116838) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NY 030768) |
| Enumeration Date | 2005-10-30 |
| Last Update Date | 2007-07-08 |