| NPI | 1689895310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN098319L) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NE00996500) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |