| NPI | 1750789400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 291418) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07159200) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |