NPI | 1700691714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 49062) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IN ME108693) |
Enumeration Date | 2025-02-08 |
Last Update Date | 2025-02-08 |