| NPI | 1538997382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP49774000) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NJ NA200032952) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |