| NPI | 1700622610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07626700) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331807) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |