| NPI | 1346530862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 267156-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06305700) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |