| NPI | 1770731333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 247075) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY B1664689) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |