| NPI | 1427174259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN275121) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05487200) |
| 164W00000X Licensed Practical Nurse (Licence: NY 271101-1) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |