| NPI | 1639624893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: KY 1045777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1045777) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |