| NPI | 1760003487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 4007219) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 50210338) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-11-13 |