| NPI | 1710570619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1152899) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: KY 1152899) |
| 163WH0200X Registered Nurse, Home Health (Licence: KY 1152899) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1152899) | |
| 163WX0200X Registered Nurse, Oncology (Licence: KY 1152899) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: KY 1152899) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |