| NPI | 1528058054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 23-29487-062) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 29487) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-08-23 |