| NPI | 1750821971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: NY 326407-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NJ 26NP07454300) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |