| NPI | 1144597485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 3026361) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06433200) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2013-04-04 |