| NPI | 1841507555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN273902) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06328300) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |