| NPI | 1982922571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN106252L) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NE01047800) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |