| NPI | 1033419841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06347300) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0010782) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |