| NPI | 1588025837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 324448-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07196800) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |