| NPI | 1942688353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 270690803A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LPN050973) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |