| NPI | 1699043034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06621200) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 306792-1) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |