| NPI | 1619706348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 429109) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |