| NPI | 1245517978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN287272) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP03803900) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |