| NPI | 1396084471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 311135) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06904100) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |