| NPI | 1477254480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27071178A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN BC20705501) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-27 |