| NPI | 1336529809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 269214-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05896300) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |