NPI | 1083150734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR22124500) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327370) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2024-01-25 |