| NPI | 1013743053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 261681-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05025900) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |