| NPI | 1114655016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1088641) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07323200) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |