| NPI | 1841760147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043105884) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27061423A) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |