| NPI | 1730777269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 24-48329) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NE 19687) |
| 251J00000X Nursing Care (Licence: KS 2448329) | |
| 364S00000X Clinical Nurse Specialist (Licence: KS 2448329) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NE 19687) | |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: NE 19687) | |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-12-29 |