| NPI | 1275291171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: KY 2053554) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2053554) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2025-02-27 |