| NPI | 1093496739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27080245A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043131114) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |