| NPI | 1023313129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 304694) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26npo6349200) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |