| NPI | 1265772842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR14542700) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NJ 26NR14542700) |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-22 |