| NPI | 1265691828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28077920A) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: IN 28077920A) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2008-06-08 |