| NPI | 1073150041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: KY 1121124) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: KY 1121124) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |