| NPI | 1841646072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27073046A) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IN 6292-2352) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703096215) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |