| NPI | 1700755154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27073674A) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: IN 14005683A) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |