| NPI | 1215288477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 292876) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NY 366267) |
| 164W00000X Licensed Practical Nurse (Licence: NY 311777) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2015-12-04 |