| NPI | 1902661416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 746232) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 434652) |
| 164W00000X Licensed Practical Nurse (Licence: NY 332840) | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |