| NPI | 1720827280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 200128-1) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 200128-1) |
| 146N00000X Emergency Medical Technician, Basic (Licence: NY 440898) | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |