| NPI | 1083599153 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: KY 4000033) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |