| NPI | 1760141899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1148626) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: KY 1148626) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |