| NPI | 1295069110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 284553) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06352100) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2022-05-16 |