| NPI | 1194429126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 2435519012) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 24-35519-012) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |