| NPI | 1750351417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NJ00290400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R132982) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-10-01 |