| NPI | 1710508361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 750907) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NY 351771) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |