| NPI | 1760112098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27054295A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27054295C) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |