| NPI | 1467741256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05921700) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 289606-1) |
| 164W00000X Licensed Practical Nurse (Licence: NY 289606) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |