| NPI | 1952287518 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: 6100-3881-5009) |
| 146N00000X Emergency Medical Technician, Basic (Licence: E3760518) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: MA E0925629) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: CO Q231581) | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |