| NPI | 1275794737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN270792) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP04708100) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |