| NPI | 1245633916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 24-41914-122IV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: KS 24-41914-122IV) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |