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 |