| NPI | 1336477959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1028494) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: KY 1028494) |
| 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: KY 1028494) | |
| 163WP0000X Registered Nurse Pain Management (Licence: KY 1028494) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |