NPI | 1326197427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05500300) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 189425) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |