| NPI | 1659067528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27056351A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27056351C) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-14 |