| NPI | 1104319052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27056484A) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: IN 27056484A) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |