| NPI | 1790303105 |
|---|---|
| Former Name | NEFERTITI AISHAH NOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH lpn.167.153.meds-iv) |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2020-07-12 |