| NPI | 1144552852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: KS 1373805021) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: KS 13-73805-021) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2023-02-09 |