| NPI | 1861186652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26np07885500) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA lpn101069) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |