| NPI | 1730406422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 2056445) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 300466) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-08-24 |