| NPI | 1487243432 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1127749) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: KY 1127749) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-05-20 |