| NPI | 1790153260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 572645) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NY 175830) |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 572645) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |