| NPI | 1962895946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 146M00000X Emergency Medical Technician, Intermediate | |
| 146N00000X Emergency Medical Technician, Basic | |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-03-14 |