NPI | 1487845384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR12278900) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NR12278900) |
163WN1003X Registered Nurse, Nutrition Support (Licence: NJ 26NR12278900) | |
Enumeration Date | 2007-08-06 |
Last Update Date | 2018-07-24 |