| NPI | 1033362744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 269777) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05774600) |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-25 |