| NPI | 1700568581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 2055610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 4046581) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-10-16 |