| NPI | 1568715100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 1031354) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 110-99) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2014-04-30 |