| NPI | 1891061933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06253900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 293857-1) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |