| NPI | 1164757092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27042139A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043.048665) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2023-03-09 |