| NPI | 1821633868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 760221) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 414605) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |