| NPI | 1952785446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 317592) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07050600) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |